Healthcare Provider Details

I. General information

NPI: 1285297010
Provider Name (Legal Business Name): KIMBERLY ARRONEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5280 E BEVERLY BLVD STE C
LOS ANGELES CA
90022-2044
US

IV. Provider business mailing address

1590 W 23RD ST
LONG BEACH CA
90810-3501
US

V. Phone/Fax

Practice location:
  • Phone: 310-384-5317
  • Fax: 310-943-3333
Mailing address:
  • Phone: 562-754-4136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number39406
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: